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Effectiveness of Inflammatory Cytokines Induced by Sericin
198 WOUNDS
Silk sericin (SS), a group of glue proteins produced in the middle silkgland of the silkworm, is an essential component of the cocoon fila-ment. It is comprised of granular and high molecular weight proteins
with adhesive and gelatin-like characteristics.1 Our previous study demon-
strated that SS can promote reduction in wound size and increase collagen
production in rats without causing any allergic reactions.2 Several studies
also demonstrated the advantages of using SS in wound healing by enhanc-
ing the attachment and growth of mouse fibroblasts, human skin fibroblasts,
and human and mouse hybridoma in culture media.3–5 However, there are
several reports on immune response that argue against silk sutures contain-
ing SS proteins6–8 and assert that the SS proteins are responsible for skin irri-
tation and allergies.9 The fact that SS shows no antibacterial activity may also
make it less attractive for wound regeneration.
Wound healing is a dynamic process that involves the integrated action of
many cell types, the extracellular matrix, and chemical mediators. Wound
repair can be divided into three overlapping stages: inflammation, formation
Effectiveness of Inflammatory
Cytokines Induced by Sericin
Compared to Sericin in Combination
With Silver Sulfadiazine Cream on
Wound Healing
Pornanong Aramwit, PharmD, PhD; Sorada Kanokpanont,
PhD; Phaibul Punyarit, MD; Teerapol Srichana, PhD
WOUNDS 2009;21(8):198–206
From the Faculty of Pharmaceutical
Sciences, Chulalongkorn University,
Bangkok, Thailand
Address correspondence to:
Pornanong Aramwit, PharmD, PhD
Faculty of Pharmaceutical Sciences
Chulalongkorn University
254 Phyathai Rd.
Patumwan, Bangkok
Thailand 10330
Phone: 66 899 217 255
E-mail: aramwit@
Abstract: Silk sericin (SS) has been shown to promote collagen syn-
thesis during wound healing, but it lacks antimicrobial activity. We
investigated the effectiveness and the induction of the inflammatory
mediators IL-1β and TNF-α by SS, silver sulfadia
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